Provider Demographics
NPI:1376893883
Name:MARIET & B TRANSPORTATION.LLC
Entity Type:Organization
Organization Name:MARIET & B TRANSPORTATION.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAIDOU
Authorized Official - Middle Name:KABEM
Authorized Official - Last Name:OUEDRAOGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-893-7627
Mailing Address - Street 1:5940 14TH ST NW APT A1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1775
Mailing Address - Country:US
Mailing Address - Phone:240-893-7627
Mailing Address - Fax:
Practice Address - Street 1:5940 14TH ST NW APT A1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1775
Practice Address - Country:US
Practice Address - Phone:240-893-7627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)